HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC (NPI# 1093984460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093984460 |
| Entity Type | Organization |
| Organization Name | HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC |
| Other Organization Name | HRDI COMMUNITY SUPPORT RESIDENTIAL |
| Practice Address |
11335 S State St Chicago IL 60628-4835 |
| Mailing Address |
222 S Jefferson St 200 Chicago IL 60661-5603 |
| Practice Telephone | 7732912651 |
| Practice Fax Number | 7736609118 |
| Mailing Telephone | 3124419009 |
| Mailing Fax Number | 3124419019 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | MS. RENZY RICHARDSON (DIRECTOR OF CONTRACT ADMINISTRATION) |
| Authorized Official Telephone | 3124419009 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 04073 | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| HRDI COMMUNITY SUPPORT RESIDENTIAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689915597 | Human Resources Development Institute, Inc | Community/Behavioral Health | 30 E 112th Pl, Chicago, IL 60628-4914 | 2013-03-04 |
| 1952570517 | Human Resources Development Institute, Inc | Clinic/Center | 11316 S King Dr, Chicago, IL 60628-5010 | 2008-02-27 |
| 1427236751 | Human Resources Development Institute, Inc | Clinic/Center | 8000 S Racine Ave, Chicago, IL 60620-3011 | 2008-02-08 |
| 1952589715 | Human Resources Development Institute, Inc | Clinic/Center | 33 E 114th St, Chicago, IL 60628-4921 | 2008-02-04 |
| 1639348253 | Human Resources Development Institute, Inc | Clinic/Center | 33 E 114th St, Chicago, IL 60628-4921 | 2008-02-28 |
| 1033397369 | Human Resources Development Institute, Inc | Clinic/Center | 340 E 51st St, Chicago, IL 60615-3509 | 2008-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC. | 222 S Jefferson St, Chicago, IL 60661 |
| Street Address |
11335 S STATE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1376839274 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2443 E 77th St, Chicago, IL 60649-4730 | 2011-06-20 |
| 1821384736 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7919 S Essex Ave, Chicago, IL 60617-1213 | 2011-06-20 |
| 1669768560 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8006 S Essex Ave, Chicago, IL 60617-1221 | 2011-06-20 |
| 1427344332 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7131 S Western Ave, Chicago, IL 60636-3614 | 2011-06-20 |
| 1831485739 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7133 S Western Ave, Chicago, IL 60636-3614 | 2011-06-20 |
| 1639465545 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7701 S Phillips Ave, Chicago, IL 60649-4705 | 2011-06-20 |
| 1265727614 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7623 S Essex Ave, Chicago, IL 60649-4037 | 2011-06-14 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.